Health Behavior, Well-Being
Conditions
Keywords
Psychological Health, Well-Being, Resilience, Readiness, Military, Service Member
Brief summary
This study is a randomized controlled trial that assesses the effects of an evidence based, multi-component, leadership support intervention, Resilience-Supportive Leadership Training (RESULT), using accelerated learning strategies aimed at improving Service Member resilience and readiness in the military. The intervention is expected to increase perceptions of resilience-supportive behaviors, resilience indicators, and related behavioral health outcomes such as emotion regulation, connectedness, team cohesion, and psychological health following the training from the perspective of the Service Member.
Detailed description
The goal of our proposed study is to adapt our existing, evidence-based supportive leadership training for an active duty population, focusing on training junior leaders in the Army on ways they can enhance readiness and resilience in their soldiers, as well as their own resilience. The investigators draw on best practices from existing military and civilian programs in a training that is engaging, interactive, and customizable. The investigators use micro-learnings - small, bite-sized pieces of information delivered in non-traditional ways, such as short podcasts or videos to enhance the training and enable it to be integrated easily into both military and civilian jobs. The investigators evaluate the effectiveness of our Resilience-Supportive Leadership Training (RESULT) intervention with U.S. Army soldiers stationed at Joint Base Lewis-McChord (JBLM) in the State of Washington. The study includes a control group, so the investigators can better determine whether any observed changes in our participants are due to our training programs, and not some other factor. The investigators anticipate that the training programs will have a positive impact on service member readiness and resilience, psychological health, team cohesion, and reduced loneliness. This research is designed to benefit not only U.S. Army soldiers but across all military branches, as well as first-responders and other civilian occupations that face highly stressful situations as part of their work. Our training has the potential to positively contribute to the military by enhancing service member readiness and unit autonomy, and improving mental and physical health.
Interventions
Platoon leaders receive a 90-minute, in-person training addressing supportive supervisor behaviors and resilience
Sponsors
Study design
Eligibility
Inclusion criteria
Active Duty Service Members Serving in one of the two Striker Brigade Combat Teams (SBCT).
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Resilience Supportive Supervisor Behaviors - Emotional Support | 3-month post intervention, up to 4 months | Service member's perceptions of leadership emotional support behavior. Likert-type scale 1-5, with higher scores indicating greater support |
| Resilience Supportive Supervisor Behaviors - Destigmatizing | 3-month post intervention, up to 4 months | Service member's perceptions of leadership support behavior in destigmatizing behavioral health. Likert-type scale 1-5, with higher scores indicating greater destigmatization |
| Dimensions of Anger Reactions (DAR-5) | 3-month post intervention, up to 4 months | Service member's perceptions of their anger, Likert-type scale 1-5 with higher scores indicating higher levels of anger |
| Life Satisfaction | 3-month post intervention, up to 4 months | Service member's perceptions of their general life satisfaction. Likert-type scale from 1-5, with higher scores indicating higher satisfaction |
| Unit Belonging - Subscale of the Team Cohesion Scale | 3-month post intervention, up to 4 months | Service member's perceptions degree to which they feel part of their current platoon. Likert-type scale from 1-7, with higher scores indicating more sense of belonging. |
| Brief Loneliness Scale | 3-month post intervention, up to 4 months | Service member's perception of their own loneliness. Likert-type scale from 3-13, with higher scores indicating greater loneliness |
Countries
United States
Participant flow
Recruitment details
Recruitment of Service Members at all levels within the participating Battalions occurred during the month of September 2019. An Operations Order was delivered to Battalion leaders to send out an email, created by the research team, which explained the study, that participation was voluntary and confidential, and provided a link to an online survey. These emails were forwarded from the Battalion leadership to lower ranking leaders, who then sent to their individual unit members.
Pre-assignment details
No participants who were enrolled were excluded from the study before assignment to groups.
Participants by arm
| Arm | Count |
|---|---|
| Service Member in Battalion Randomized to Intervention Condition Military service members who are in a battalion randomized to the intervention condition. The Platoon Leaders of service members in this condition were assigned to completed the Readiness Supportive Leadership Training (RESULT). | 118 |
| Service Member in Battalion Randomized to Control Condition Military service members who are in a battalion randomized to the control condition. The Platoon Leaders of service members in this condition were assigned to usual practice. | 158 |
| Total | 276 |
Baseline characteristics
| Characteristic | Service Member in Battalion Randomized to Control Condition | Total | Service Member in Battalion Randomized to Intervention Condition |
|---|---|---|---|
| Age, Continuous | 24.4 years STANDARD_DEVIATION 5.01 | 23.9 years STANDARD_DEVIATION 4.7 | 23.5 years STANDARD_DEVIATION 4.42 |
| Dimensions of Anger (DAR-5) | 1.79 units on a scale STANDARD_DEVIATION 0.86 | 1.71 units on a scale STANDARD_DEVIATION 0.79 | 1.62 units on a scale STANDARD_DEVIATION 0.69 |
| Emotional Support from Leader | 4.01 units on a scale STANDARD_DEVIATION 0.97 | 3.95 units on a scale STANDARD_DEVIATION 0.95 | 3.88 units on a scale STANDARD_DEVIATION 0.91 |
| Life Satisfaction | 3.15 units on a scale STANDARD_DEVIATION 1.11 | 3.19 units on a scale STANDARD_DEVIATION 1.06 | 3.26 units on a scale STANDARD_DEVIATION 1 |
| Loneliness | 6.45 units on a scale STANDARD_DEVIATION 2.58 | 6.45 units on a scale STANDARD_DEVIATION 2.6 | 6.44 units on a scale STANDARD_DEVIATION 2.64 |
| Race/Ethnicity, Customized White & Non-White/Multiple Non-White/Multiple selected/Missing | 75 Participants | 135 Participants | 60 Participants |
| Race/Ethnicity, Customized White & Non-White/Multiple White | 83 Participants | 141 Participants | 58 Participants |
| Region of Enrollment United States | 158 participants | 276 participants | 118 participants |
| Sex: Female, Male Female | 144 Participants | 244 Participants | 100 Participants |
| Sex: Female, Male Male | 8 Participants | 22 Participants | 14 Participants |
| Unit Belongingness | 5.63 units on a scale STANDARD_DEVIATION 1.65 | 5.53 units on a scale STANDARD_DEVIATION 1.69 | 5.45 units on a scale STANDARD_DEVIATION 1.75 |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 948 | 0 / 942 |
| other Total, other adverse events | 0 / 948 | 0 / 942 |
| serious Total, serious adverse events | 0 / 948 | 0 / 942 |
Outcome results
Brief Loneliness Scale
Service member's perception of their own loneliness. Likert-type scale from 3-13, with higher scores indicating greater loneliness
Time frame: 3-month post intervention, up to 4 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Service Member in Battalion Randomized to Intervention Condition | Brief Loneliness Scale | 6.21 score on a scale | Standard Deviation 2.62 |
| Service Member in Battalion Randomized to Control Condition | Brief Loneliness Scale | 6.53 score on a scale | Standard Deviation 2.74 |
Dimensions of Anger Reactions (DAR-5)
Service member's perceptions of their anger, Likert-type scale 1-5 with higher scores indicating higher levels of anger
Time frame: 3-month post intervention, up to 4 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Service Member in Battalion Randomized to Intervention Condition | Dimensions of Anger Reactions (DAR-5) | 1.51 score on a scale | Standard Deviation 0.66 |
| Service Member in Battalion Randomized to Control Condition | Dimensions of Anger Reactions (DAR-5) | 1.71 score on a scale | Standard Deviation 0.84 |
Life Satisfaction
Service member's perceptions of their general life satisfaction. Likert-type scale from 1-5, with higher scores indicating higher satisfaction
Time frame: 3-month post intervention, up to 4 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Service Member in Battalion Randomized to Intervention Condition | Life Satisfaction | 3.23 score on a scale | Standard Deviation 1.04 |
| Service Member in Battalion Randomized to Control Condition | Life Satisfaction | 3.13 score on a scale | Standard Deviation 0.98 |
Resilience Supportive Supervisor Behaviors - Destigmatizing
Service member's perceptions of leadership support behavior in destigmatizing behavioral health. Likert-type scale 1-5, with higher scores indicating greater destigmatization
Time frame: 3-month post intervention, up to 4 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Service Member in Battalion Randomized to Intervention Condition | Resilience Supportive Supervisor Behaviors - Destigmatizing | 4.03 score on a scale | Standard Deviation 0.86 |
| Service Member in Battalion Randomized to Control Condition | Resilience Supportive Supervisor Behaviors - Destigmatizing | 3.94 score on a scale | Standard Deviation 1.03 |
Resilience Supportive Supervisor Behaviors - Emotional Support
Service member's perceptions of leadership emotional support behavior. Likert-type scale 1-5, with higher scores indicating greater support
Time frame: 3-month post intervention, up to 4 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Service Member in Battalion Randomized to Intervention Condition | Resilience Supportive Supervisor Behaviors - Emotional Support | 4.00 score on a scale | Standard Deviation 0.92 |
| Service Member in Battalion Randomized to Control Condition | Resilience Supportive Supervisor Behaviors - Emotional Support | 3.90 score on a scale | Standard Deviation 1.06 |
Unit Belonging - Subscale of the Team Cohesion Scale
Service member's perceptions degree to which they feel part of their current platoon. Likert-type scale from 1-7, with higher scores indicating more sense of belonging.
Time frame: 3-month post intervention, up to 4 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Service Member in Battalion Randomized to Intervention Condition | Unit Belonging - Subscale of the Team Cohesion Scale | 5.69 score on a scale | Standard Deviation 1.6 |
| Service Member in Battalion Randomized to Control Condition | Unit Belonging - Subscale of the Team Cohesion Scale | 5.36 score on a scale | Standard Deviation 1.81 |